Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulder Biologics, LLC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1477039907

Boulder Biologics, LLC is a Sports Medicine (Internal Medicine) Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4745 Arapahoe Ave Ste 300
Boulder, CO 80303-1292
Phone: (720) 550-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence 47816 (CO)

Record details

NPI number1477039907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Glowney — President · (720) 550-6175
Other names Boulder Biologics, Llc
NPI enumeratedJuly 18, 2018
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292

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